Individual provider Active NPI

Jason Richard Pingel, O.D.

  • Optometrist
  • Mission, KS
National Provider Identifier
1063449189
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1671 Issued in KS
Practice address
6120 Johnson Dr
Mission, KS 66202-3333
Phone
(913) 262-3937
Fax
(913) 262-3942
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1671 KS Primary
Corneal and Contact Management Optometrist 152WC0802X 1671 KS
Pediatric Optometrist 152WP0200X 1671 KS
Sports Vision Optometrist 152WS0006X 1671 KS

Addresses

Primary practice location

6120 Johnson Dr
Mission, KS 66202-3333

Mailing address

6120 Johnson Dr
Mission, KS 66202-3333
Phone (913) 262-3937

Other identifiers 1

IdentifierTypeStateIssuer
200419080AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050125000810 KS Practitioner - Optometry 5991755241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pingel Family Eyecare, LLCGroup PAC ID 4385811306, 3 clinicians

Practice addresses (Care Compare)

6120 Johnson Dr
Mission, KS 66202-3333
Phone (913) 262-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1671KSMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pingel Family Eyecare, LLC Optometrist CurrentSince Nov 8, 2011 Accepting new patients
Acuity Vision Center LLC Optometrist Past Accepting new patients
Central Iowa Eye Associates, P.C. Optometrist PastSince Jul 12, 2004 Accepting new patients
Dr. Brent T. Crandon & Dr. Elizabeth J. Crandon Optometrists PA Optometrist PastSince Apr 1, 1996 Accepting new patients
Brill Eye Center LLC Optometrist PastSince Sep 16, 2003 Accepting new patients

Locations

1019 Massachusetts St
Lawrence, KS 66044
Phone (785) 843-0507

6120 Johnson Dr
Mission, KS 66202
Phone (913) 262-3937

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1063449189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023333",
            "telephone_number": "913-262-3937",
            "fax_number": "913-262-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023333",
            "telephone_number": "913-262-3937",
            "fax_number": "913-262-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGEL",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1671",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "1671",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "KS",
            "license": "1671",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "KS",
            "license": "1671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200419080A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

Verify at the official NPI Registry.